HomeMy WebLinkAboutChange Order No 3 - Berlin Place No 2 EMP Project No 117-048P-R - CBS Services LLC1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOI JTH BEND. INDIANA 46601-1930
186
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
May 28, 2019
Jacob Shearer
CBS Services, LLC
5005 Lincoln Way East, Suite A
Mishawaka, IN 46544
PHONE 574/235-9251
FAX 574/235-9171
RE: Change Order No. 3 - Berlin Place No. 2 Electrical, Mechanical & Plumbing —
Project No. 117-048P- R
Dear Mr. Shearer:
The Board of Public Works, at its meeting held on May 28, 2019, approved the above
referenced Change Order for an increase of thirty (30) days, bringing the revised project
completion date to June 30, 2019.
Enclosed is a copy of the Change Order for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
CITY OF SOUTH BEND
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
See attached letter for extension explanation
The original contract sum $ 3,818,000.00
g yp Y g $ _0.00.....
Net change b previously authorized change orders
The contract sum prior to this change order
By this Change Order, the project amount is
The new contract sum including this change order
This Change Order represents a total change of
Total change for entire project
Original contracted completion date/time
Extension of date/time by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
Contractor Signature
Printed Name and Title
CBS p y es LLC
_
Company name
Services, _
ame
5005 Lincoln Way E.,,yLLSuite A
Address
Mishawaka, In. 46544
City, State, Zip .....�.....�...�..._ �......e�e.................m.......
E.1
El Increased
El Decreased $
3,818,000.00
0.00
000.00
0
0 %
CITY OF SOUTH BEND
BOARD OF PUBLIC)Y, O S
Approved Date:5���
Py A. Gilot, P �.'flcnl.
4ra Puli'vo,v� ) ;t,ainber
Elizabeth A. M.aradik, Member
Genevieve E. Miller, Member
➢",aerese J. Do�ao, cnabcr
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05/22/2019 _ Department Public Works
Name To Villa Division/Bureau Engineering
ineering
.......... ...................... ��..._
BPW Date 052/28/2019 Phone Extension 5920
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eared Prior toSubmittalto Board
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Controller Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing
Check the
L9 Agreement
❑ Professional Services
[] Bid Opening
❑ Quote Opening
® Change Order No. 3
Ease/Encroach.
Other:
�r priate Item Type —
E Contract
R Resolution
❑ Bid Award
❑ Quote Award
C/O & PCA No. —
❑] Traffic Control:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Copy
Original
E
1:1
D
for All Submissions
Proposal
❑ Req. to Advertise
ired Information
❑ PCA
CBS Services, LLC
Yes [❑ No ❑ If Yes, Approved by Purch asi
30 Day Time Extension
Dispersal After Approval
Addendum
❑ Title Sheet